| NPI | 1942963988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1055192) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OK 222104) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: OK 222104) | |
| Enumeration Date | 2021-10-18 |
| Last Update Date | 2025-08-04 |